Individual
TANIA THORNTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
196 THOMAS JOHNSON DR, SUITE 215, FREDERICK, MD 21702-4397
(301) 668-9988
(301) 668-9977
Mailing address
196 THOMAS JOHNSON DR, SUITE 215, FREDERICK, MD 21702-4397
(301) 668-9988
(301) 668-9977
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0024173945
VA
363L00000X
Nurse Practitioner
Primary
R223869
MD
Other
Enumeration date
09/09/2016
Last updated
11/09/2016
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